Aquilla Lynette Cribb

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26506 Issued in FL

Practice address

905 Assisi LN
Jacksonville, FL 32233-2972

Phone

(904) 667-3660

Fax

(904) 240-4429

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1538728498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 ANGELA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221936",
            "telephone_number": "904-652-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ASSISI LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322332972",
            "telephone_number": "904-667-3660",
            "fax_number": "904-240-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBB",
        "first_name": "AQUILLA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "26506",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "motionptg.com",
            "affiliation": "N",
            "address_1": "905 Assisi Ln",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322332972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackson Crews, DNP
• Jessica Tunstill Crews, DDS
• Morgan Fleury Crews, DPT, ATC
• Unique Crews
• Crg34Ah01 LLC (Medicus Spine & Joint)
• Carlton Cribb
• Samantha Cribbett, NP
• Kimberly Alford Cribbs
• Jeffery Crick, DO
• John C Crick, M.D.

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.